Understanding Alcohol: Investigations into Biology and Behavior Grades 7- 8 by National Institute of Alcohol Abuse - HTML preview

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Understanding Alcohol: Investigations into Biology and Behavior 508-Compliant Web Activities Lesson,

For students with hearing impairment

For students with sight impairment

activity

Lesson 1, Activity 1:

No special considerations are required.

With a screen reader, students are pre-

What’s Up With This

sented with two buttons, “mouse 1”

Mouse?

and “mouse 2.” Each button will play a

video with descriptive narration.

Lesson 3, Activity 1:

Students may click on the closed-

Using a screen reader, students are

Gathering Data,

captioning icon to view the captioning

able to navigate to each study. Within

Study 1—Effect of

for the activity’s introduction.

each study, a sound effect is heard

Alcohol Dose on

each time a mouse crosses a grid

Mouse Activity;

line. Students must count the num-

Study 2—Effect of

ber of sound effects to arrive at the

Time on Alcohol

The closed-captioning icon is located

number of grid lines crossed by the

Response; Study 3—

in the top left corner of the animation.

mouse.

Effect of Genetics

The text appears at the bottom of the

on Alcohol

animation.

Supervision is recommended.

Response

The individual studies do not have

captioning.

Lesson 5, Activity 2:

No special considerations are required.

With a screen reader, students are

Alcohol and Driving

presented with two buttons, “Simula-

Behavior

tion A” and “Simulation B.” Each but-

ton will play a video with descriptive

narration. The narration describes the

major activities that occur during each

simulation. After hearing each descrip-

tion, students will be able to easily

determine which driver is under the

influence of alcohol. Be sure to have

students relate each of the intoxicated

driver’s actions to the specific effects

of alcohol on the body.

21

Using the Web Site

index-28_1.jpg

Information

about Alcohol

of eighth graders, 40 percent of 10th graders, and

51 percent of 12th graders reported consuming

alcohol within the month prior to the survey.43 In

Figure 1. Alcohol

addition, 16 percent of eighth graders reported

has been part of

binge drinking within the two weeks leading up to

societies for thou-

the survey. The effects of adolescent drinking

sands of years, as

involve both health- and safety-related problems,

shown by this repre-

including auto crashes, domestic violence, and sui-

sentation of the

cide. Alcohol abuse among teenagers may also be

ancient Greek god of

related to behavioral problems linked to impulsive-

grape growing and

ness and sensation seeking.55 Youth alcohol-use

wines, Bacchus.

data indicate that the earlier an individual begins

drinking, the greater his or her risk of developing

1 Introduction

alcohol-use problems in the future. Individuals

Alcohol has been used for centuries in social,

who begin drinking before age 15 are four times

medical, cultural, and religious settings. Most

more likely to develop alcohol dependence during

Americans believe alcohol can be used responsi-

their lifetimes than are those who begin drinking at

bly by adults for social and religious purposes.

age 21.24, 25

However, alcohol can also be used to excess

resulting in health, social, legal, and other prob-

lems. Students may receive conflicting messages

The earlier an individual begins

about alcohol from the news media, school, their

drinking, the greater his or her

friends, and their parents. On the one hand, they

risk of developing alcohol-related

hear that moderate alcohol use is acceptable, and

problems in the future.

in some instances may actually be good for your

health; on the other hand, they are told that alco-

Dr. Enoch Gordis, former Director of the National

hol is a drug that requires abstinence until age 21.

Institute on Alcohol Abuse and Alcoholism

In addition, advertisements and media images

(NIAAA), has written, “Although alcohol is some-

often present alcohol as a means to success and an

times referred to as a ‘gateway drug’ for youth

enjoyable life. These conflicting messages, com-

because its use often precedes the use of other

bined with misunderstandings and misinforma-

illicit substances, this terminology is counterpro-

tion, do not help students make responsible

ductive; youth drinking requires significant atten-

decisions about alcohol use.

tion, not because of what it leads to, but because

Statistics indicate that many adolescents begin con-

of the extensive human and economic impact of

suming alcohol at an early age. In 1997, 26 percent

alcohol use by this vulnerable population.”43

23

Understanding Alcohol: Investigations into Biology and Behavior The purpose of this supplement is to present stu-Table 2. Characteristics of Alcoholism55

dents with the opportunity to learn about the sci-

ence underlying the effects of alcohol on human

craving (a strong need or compulsion to drink)

biology and behavior through a series of inquiry-

impaired control over drinking

based classroom lessons. Young people are natural

scientists. They have a curiosity about the world

use and abuse of alcohol despite adverse

around them and about themselves as individuals.

consequences

Since they have little in the way of life experi-

failure to acknowledge the problem

ences, many young people tend to view them-

selves as nearly invincible. Consequently, when

tolerance or need for increasing amounts of

adults caution them against engaging in risky

alcohol to feel intoxicated

behaviors such as drinking alcohol, some don’t

physical dependence or the occurrence of

listen. They feel that such warnings aren’t for

withdrawal symptoms when alcohol use is

them and apply only to those less grown up than

discontinued

themselves.

The aim of this supplement is to give students the

religious purposes without demonstrating the

opportunity to construct their own understanding

characteristics of alcohol abuse or alcoholism (see

about alcohol and its attendant risks. In addition,

Tables 1 and 2). Alcohol abuse is defined as the

the inquiry-based lessons are designed to help stu-

continued use of alcohol despite the development

dents hone their critical-thinking skills. With

of social, legal, or health problems. It is important

enhanced understanding and skills, they will be

to note that any alcohol use by underage youth is

better prepared to make informed decisions about

considered to be alcohol abuse.

real-life situations involving alcohol use.

Any alcohol use by underage

2 Alcohol Use, Abuse, and Alcoholism:

youth is considered to

Definitions

be alcohol abuse.

In any discussion of alcohol use, it is crucial to

begin with a clear understanding of terms. For the

purposes of this module, we define alcohol use by

In contrast, alcoholism, also known as alcohol

adults as the consumption of alcohol for social or

dependence syndrome or alcohol addiction, is a

chronic disease involving a strong need to drink,

the inability to stop drinking, the occurrence of

Table 1. Characteristics of Alcohol Abuse55

withdrawal symptoms, and tolerance (see Table

2). Alcoholism is often progressive.

failing to fulfill major work, school, or home

responsibilities

Alcohol abuse is not equivalent to alcoholism. A

person who abuses alcohol may drink excessive

drinking in situations that are potentially dan-

amounts but does not experience an alcoholic

gerous, such as driving a car or operating

individual’s intense cravings or severe withdrawal

heavy machinery

symptoms (physical dependence) when drinking

experiencing repeated alcohol-related legal

stops. Susceptibility factors that contribute to

problems, such as being arrested for driving

alcoholism are genetic, environmental, and psy-

while intoxicated

chosocial. Thus, while not all people who abuse

alcohol become alcoholics, those with genetic sus-

exhibiting continued drinking despite having

ceptibility factors who place themselves in envi-

relationship problems that are caused or

ronments that encourage drinking put themselves

made worse by drinking

at risk for developing alcoholism.

24

The definitions of alcohol abuse and alcoholism

be both short-term (acute) and long-term

described above do not directly apply to youth

(chronic) consequences, even with moderate lev-

drinking. As previously noted, any alcohol drink-

els of drinking. The materials contained in this

ing by underage youth is considered to be alcohol

curriculum supplement, Understanding Alcohol:

abuse. Youth who abuse alcohol typically do so by

Investigations into Biology and Behavior, should at

drinking often,43 or engaging in binge drinking,

least help correct the following misconceptions.

which is commonly defined as drinking five or

Even moderate levels of alcohol use can lead to

more drinks in a row. Such drinking patterns put

both short-term and long-term consequences.

youth at increased risk for developing alcoholism

later in life. Research suggests that separate crite-

Misconception 1: Alcohol is a stimulant.

ria may be needed to distinguish between alcohol

Alcohol has been falsely thought of as a stimulant

abuse and alcoholism in youth as compared with

because its initial effects on some people include

adults.34, 43 Table 3 lists some of the risk factors

feelings of euphoria and lowered inhibitions.

associated with youth drinking.

Alcohol is classified correctly as a depressant

because it later causes sedation and drowsiness.30

In high concentrations, alcohol can induce

Table 3. Risk Factors for Youth Drinking55

unconsciousness, coma, and even death.

genetic factors (based on animal and human

Misconception 2: Alcohol abuse and alcoholism

twin studies)

are problems only for the individual drinker.

childhood behaviors such as impulsiveness,

Alcohol abuse and alcoholism are social problems

aggressiveness, and antisocial behavior

that touch many more lives than that of the indi-

vidual drinker. Alcohol abuse is a contributing

psychiatric disorders such as attention deficit

factor to many other social problems including

hyperactivity disorder and depression

auto crashes, domestic violence, and child abuse

family environments with favorable attitudes

or neglect. In addition to the personal costs, alco-

about drinking and lack of support

holism also has a severe economic impact on the

country due to lost productivity, healthcare treat-

acceptance of drinking by peers

ment, and costs attendant to administering the

child abuse and trauma

criminal justice system.

Misconception 3: People with alcoholism are

morally weak individuals lacking will power.

3 Misconceptions about Alcohol Use,

Alcoholism involves more than just drinking too

Abuse, and Alcoholism

much. It is known to be a complex disease that

Generally, textbooks for middle school students

involves a variety of factors including genetic,

present little, if any, scientific information on how

environmental, social, and behavioral compo-

alcohol affects cell function and animal behavior.

nents. The physical dependence of alcoholics on

If the subject is covered at all, it is likely done in a

drinking defines alcoholism as a disease that must

health class, or possibly in a driver’s education

be diagnosed, and as separate from alcohol abuse

class. Much of what students know, or think they

(see 2 Alcohol Use, Abuse and Alcoholism: Defini-

know, comes through family, peers, the media,

tions). In alcoholic individuals, the brain is

and personal experimentation. Very often this

affected by alcohol and promotes its continued

information is characterized by errors, half-truths,

use through both positive and negative reinforce-

and folk wisdom. Students need to understand the

ments. Most notably, the severe physical with-

changes that occur in their minds and bodies

drawal symptoms that result from stopping

when they drink alcohol. They also need to

drinking serve as a strong biological force that can

understand that if they choose to drink, there can

maintain drinking behavior.

25

Information about Alcohol

index-31_1.jpg

Understanding Alcohol: Investigations into Biology and Behavior alcohol last only a short time, chronic long-term

Alcoholism is a complex disease that

effects can develop and persist. Adolescents and

involves a variety of factors including

adults who drink excessive amounts of alcohol

genetic, environmental, social, and

may be causing chronic alterations to their brains.

behavioral components.

A recent study provides evidence that heavy

drinking among teenagers can impair brain func-

tion.7 It is not yet known if these effects are

Misconception 4: Children cannot be alcoholics.

reversible.

Alcohol is the most used and abused drug among

young people. A recent national poll reports that

one in four eighth graders drank alcohol in the

past month, and 18 percent of eighth graders got

drunk at least once in the past year.46 Research

using animal models suggests that the developing

brain of the adolescent responds differently to

alcohol than does the adult brain.31, 59 Children

who abuse alcohol may develop alcoholism,

though the criteria for making the diagnosis may

be different from those used to diagnose adults.34

Misconception 5: Small amounts of alcohol won’t

impair bodily or mental functions.

Half of the states in the United States have set the